Ms Nicole A Johnson, PA-C - Medicare Physician Assistant in Carbondale, IL

Ms Nicole A Johnson, PA-C is a medicare enrolled "Physician Assistant" in Carbondale, Illinois. She went to University Of Nebraska College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice 24 On Physicians Pc and her current practice location is 405 W Jackson St, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 549-0721.

Ms Nicole A Johnson is licensed to practice in Illinois (license number 085-002903) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033250576.

Contact Information

Ms Nicole A Johnson, PA-C
405 W Jackson St,
Carbondale, IL 62901-1462
(618) 549-0721
Not Available

Map and Direction




Provider's Profile

Full NameMs Nicole A Johnson
GenderFemale
SpecialityPhysician Assistant
Experience13 Years
Location405 W Jackson St, Carbondale, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Nicole A Johnson attended and graduated from University Of Nebraska College Of Medicine in 2011
  NPI Data:
  • NPI Number: 1033250576
  • Provider Enumeration Date: 02/09/2007
  • Last Update Date: 11/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4385714369
  • Enrollment ID: I20080603000148

Medical Identifiers

Medical identifiers for Ms Nicole A Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033250576NPI-NPPES
085-002903OtherILPA LICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 036-087287 (Illinois)Secondary
363A00000XPhysician Assistant 085-002903 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
24 On Physicians Pc5698688141237

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Nicole A Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Nicole A Johnson, PA-C
Po Box 3988,
Carbondale, IL 62902-3988

Ph: (618) 457-5200
Ms Nicole A Johnson, PA-C
405 W Jackson St,
Carbondale, IL 62901-1462

Ph: (618) 549-0721

Reviews and Comments


Physician Assistant Nurses in Carbondale, IL

Mr. Lukas Ward, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    Fax: 618-529-0479
Ms. Britney Nicole Arnold, PA-C
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Medicare: Medicare Enrolled
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    Fax: 618-457-0469
Joeli Diemer, PAC
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Medicare: Accepting Medicare Assignments
Practice Location: 300 W Oak St, Carbondale, IL 62901
Phone: 618-536-6621    
Mr. Michael Leroy Matteson, PA C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 305 W Jackson St, Suite 105, Carbondale, IL 62901
Phone: 618-536-2565    Fax: 618-536-2835
John Howard Davidson, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    Fax: 618-457-0469
Kilmeny Clark,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 300 W Oak St, Carbondale, IL 62901
Phone: 618-453-8850    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.